Prostate Artery Embolization (PAE)

Prostate artery embolization (PAE) is a minimally-invasive procedure that may help some people with enlarged prostates–a condition known as benign prostatic hyperplasia (BPH). 

Prostate enlargement is a common condition that affects many men. As the prostate gradually enlarges, the urethra is narrowed resulting in decreased urine flow. 

Men often experience symptoms including:
 · Frequent urination

 · Straining

 · Urinary urgency

Men may be candidates for PAE if they continue to have symptoms despite medication, and do not wish to wish to have, or are ineligible for, surgery.

PAE Technique
A small catheter is inserted into an artery in the wrist. Under X-ray guidance, tiny beads are delivered within the arteries that bring blood to the prostate. Blood flow to the prostate is then slowed, causing the prostate to shrink over a period of weeks. The procedure can be performed under mild sedation or general anesthesia.

Experience after PAE
Nearly all patients are able to go home the same day of the procedure with minimal side effects. Typically, the prostate begins shrinking within 1-2 weeks following the procedure resulting in improved urination. Men with severe prostate enlargement requiring a self catheterization or a Foley catheter will often no longer require catheterization.


Benefits of PAE

- Outpatient, same-day procedure

- No/minimal pain after the procedure and you may go home the same day

- Minimally-invasive 

- Low risk of sexual side effects

- May improve sexual health

- Indwelling Foley catheter not required

What are the most common symptoms of an enlarged prostate?

- Frequent urination at night

- Frequent urination that often produces only a small amount of urine

- Hesitant or interrupted urine stream

- Leaking or dribbling urine

- Sudden and urgent need to urinate

- Weak urine stream

- Feeling like the bladder is not completely empty after urinating

- Occasional pain when urinating

- Having to rush to the bathroom suddenly after the urge to urinate

- Sometimes complete obstruction when severe